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RECEIVABLES 30778614 OTHER NON CURRENT ASSETS 19326115 INTERCOMPANY OTHER AFFILIATES 12138378 457 ASSETS 9529654 MISC. NOTE RECEIVABLES 5997121 SELF INSURANCE TRUST LT REC. 2084285 218710758 0 LEASE LIABILITY LT-OPERATING 99052566 VALUE OF INTEREST RATE SWAP 39001746 SELF INSURANCE TRUST LIABILITY 14293027 OTHER LT LIABILITIES 12321906 CURRENT PORTION LT DEBT 10279519 457 LIABILITIES 9695760 184644524 X SCHEDULE D, PART V, LINE 4 THE HOSPITAL IS THE INCOME BENEFICIARY OF THE H.H. TAMMEN TRUST, A PERPETUAL TRUST UNDER WHICH THE HOSPITAL HAS THE IRREVOCABLE RIGHT TO RECEIVE THE INCOME EARNED ON THE TRUST ASSETS IN PERPETUITY. FUNDS ARE USED TO SUPPORT HOSPITAL ACTIVITIES. SCHEDULE D, PART X, LINE 2 MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. true true X true X 0. true X true true true false true true 4807053 1058386 3748667 0.00270 570506063 350859242 219646821 0.15830 0 0 0 0.00000 575313116 351917628 223395488 0.16100 26197139 4216583 21980556 0.01580 27926961 7793435 20133526 0.01450 51556291 39971237 11585054 0.00830 25012151 10229005 14783146 0.01070 465424 0 465424 0.00030 131157966 62210260 68947706 0.04960 706471082 414127888 292343194 0.21060 72264 12000 60264 64048 64048 809156 100000 709156 0.00050 945468 112000 833468 0.00050 true 42796768 12981775 918757 1770849 -852092 X true true 5 1 CHILDREN'S HOSPITAL CO - ANSCHUTZ 13123 EAST 16TH AVENUE AURORA CO 80045 WWW.CHILDRENSCOLORADO.ORG 010417 X X X X X A 2 CHILDREN'S HOSPITAL COLORADO - SOUTH 1811 PLAZA DRIVE HIGHLANDS RANCH CO 80129 WWW.CHILDRENSCOLORADO.ORG 01F105 X X X X X A 3 CHCHO - AT PARKER ADVENTIST HOSPITAL 9395 CROWN CREST BLVD PARKER CO 80138 WWW.CHILDRENSCOLORADO.ORG 13Z405 X X X HOSPITAL UNIT OR HOSPITAL-WITHIN HOSPITAL A 4 CHCO - COLORADO SPRINGS 4090 BRIARGATE PARKWAY COLORADO SPRINGS CO 80920 WWW.CHILDRENSCOLORADO.ORG 01B436 X X X X X B 5 CHCO - NORTH CAMPUS 469 STATE HIGHWAY 7 BROOMFIELD CO 80023 WWW.CHILDRENSCOLORADO.ORG 018MU3 X X X X X B A 13 false false true X X X X X X X X X 18 true true false true X WWW.CHILDRENSCOLORADO.ORG X X true 19 true WWW.CHILDRENSCOLORADO.ORG false true X 0. 400. X X X true true X X X X true X www.childrenscolorado.org X www.childrenscolorado.org X www.childrenscolorado.org X X X X X X true X false X X X X true X false false B 45 true true false false true X 0. 400. X X X true true X X X X true X www.childrenscolorado.org X www.childrenscolorado.org X www.childrenscolorado.org X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B THE FOLLOWING RESPONSE APPLIES TO all hospital facilities included in Facility Reporting Group B: SCHEDULE H, PART V, SECTION B, LINE 2 CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS WAS PLACED INTO SERVICE IN MAY 2019. CHCO - NORTH CAMPUS WAS PLACED INTO SERVICE IN MARCH 2020. A SINGLE SCHEDULE H, PART V, SECTION B WAS COMPLETED FOR FACILITY REPORTING GROUP A. THE FOLLOWING HOSPITAL FACILITES ARE INCLUDED IN FACILITY REPORTING GROUP A: (1) CHILDREN'S HOSPITAL COLORADO (CHCO) - ANSCHUTZ (2) CHCO-SOUTH CAMPUS (3) CHCO-AT PARKER ADVENTIST HOSPITAL A SINGLE SCHEDULE H, PART V, SECTION B WAS COMPLETED FOR FACILITY REPORTING GROUP B. THE FOLLOWING HOSPITAL FACILITES ARE INCLUDED IN FACILITY REPORTING GROUP A: (4) CHCO-SOUTH COLORADO SPRINGS (5) CHCO-NORTH CAMPUS SCHEDULE H, PART V, SECTION B, LINE 3E IN 2018 CHILDREN'S HOSPITAL COLORADO CONDUCTED A JOINT CHNA FOR ITS LICENSED HOSPITAL FACILITIES, WHICH INCLUDED ANSCHUTZ CAMPUS, SOUTH CAMPUS AND PARKER ADVENTIST (HOSPITAL UNIT LICENSE). THE RESULTING CHNA PRIORITIES WERE MENTAL AND BEHAVIORAL HEALTH, INJURY PREVENTION, PREMATURITY, ASTHMA AND RESPIRATORY HEALTH, OBESITY, NUTRITION, AND PHYSICAL ACTIVITY. THE FIVE IDENTIFIED CHNA NEEDS ARE NOT PRIORITIZED, AND ALL RECEIVED EQUAL WEIGHT IN THE IMPLEMENTATION PLAN AND ON-GOING PROGRAMMING. THE CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS CHNA IS SCHEDULED TO BE COMPLETED BY DECEMBER 2021. THIS MEETS REQUIREMENT THAT NEWLY LICENSED HOSPITAL COMPLETE A CHNA BY THE LAST DAY OF THE SECOND TAXABLE YEAR. SCHEDULE H, PART V, SECTION B, LINE 5 THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 5 APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: PRIOR TO LAUNCHING OUR 2018 ASSESSMENT, CHILDREN'S COLORADO SOLICITED INTERNAL AND EXTERNAL FEEDBACK ON OUR PREVIOUS ASSESSMENT, WHICH WAS CONDUCTED IN 2015. WE WERE INTERESTED IN LEARNING ABOUT AND IMPROVING BOTH THE PROCESS THAT WAS USED PREVIOUSLY AND THE CONCLUSIONS THAT WERE DRAWN IN THAT ASSESSMENT. A TOTAL OF SEVEN EXTERNAL EVALUATORS PROVIDED DETAILED WRITTEN FEEDBACK ON THE 2015 ASSESSMENT. THEY INCLUDED REPRESENTATIVES FROM PUBLIC HEALTH, NONPROFIT ORGANIZATIONS, HEALTH ADVOCACY ORGANIZATIONS AND HEALTH CARE PROVIDERS. REVIEWERS WERE ASKED TO IDENTIFY KEY STRENGTHS AND WEAKNESSES OF THE PREVIOUS ASSESSMENTS. AS PART OF THE 2018 CHNA, CHILDREN'S COLORADO ENGAGED IN A SIGNIFICANT COMMUNITY OUTREACH PROCESS TO ASSESS THE INTERESTS AND CONCERNS OF COMMUNITY IN THE NEIGHBORHOODS AND COUNTIES THAT THE HOSPITAL SERVES. AS PART OF THIS ASSESSMENT, WE PRIORITIZED GETTING INPUT FROM UNDER RESOURCED POPULATIONS INCLUDING LOW-INCOME AND MINORITY GROUPS AND GROUPS WHOSE PRIMARY LANGUAGE IS NOT ENGLISH. WE USED THREE QUALITATIVE DATA COLLECTION METHODS TO GAIN INPUT FROM IDIVIDUALS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY: A TOTAL OF 44 STAKEHOLDER INTERVIEWS WERE COMPLETED WITH INDIVIDUALS WHO REPRESENTED PUBLIC HEALTH, GOVERNMENT, PUBLIC SAFETY, DIRECT SERVICE, PUBLIC EDUCATION AND ADVOCACY ORGANIZATIONS. INTERVIEWEES ALSO REPRESENTED A RANGE OF GEOGRAPHIC AREAS AND ALL FOUR COUNTIES IN OUR COMMUNITY WERE WELL REPRESENTED. 7 OF THE INTERVIEWS WERE WITH STAFF MEMBERS OF THE TRI-COUNTY HEALTH DEPARTMENT, WHICH IS ONE OF THE LARGEST PUBLIC HEALTH DEPARTMENTS IN THE STATE AND COVERS ADAMS, ARAPAHOE, AND DOUGLAS COUNTIES. THE LIST OF ORGANIZATIONS INTERVIEWED IS IDENTIFIED IN THE CHNA. FOCUS GROUPS WERE CONDUCTED IN EACH OF THE FOUR COUNTIES THAT COMPRISED THE CHNA COMMUNITY. RECRUITMENT EFFORTS FOCUSED ON LOW-INCOME AND VULNERABLE POPULATIONS TO ENSURE THE DIVERSE VOICE OF THE COMMUNITY WAS HEARD. A TOTAL OF 48 COMMUNITY MEMEBRS PARTCIPATED IN THE SIX FOCUS GROUPS. THE TEAM WORKED WITH COMMUNITY PARTNERS AND OUR COMMUNITY HEALTH NAVIGATION TEAM TO ENSURE THAT THE PARENT SURVEY REACHED A SOCIO-ECONOMICALLY AND ETHNICALLY DIVERSE POPULATION. A TOTAL OF 582 PARENTS COMPLETED THE SURVEY. 60% OF OUR RESPONDENTS HAD A HOUSEHOLD INCOME THAT IS LESS THAN THE STATE'S AVERAGE HOUSEHOLD INCOME OF $75,000 AND 21% HAVE HOUSEHOLD INCOMES OF LESS THAN $25,000. 65% OF OUR RESPONDENTS ARE ETHNIC MINORITIES. BECAUSE THE PARENT SURVEY INCLUDED QUESTIONS ABOUT DEMOGRAPHICS, WE WERE ALSO ABLE TO DETERMINE IF THE ISSUES OF MOST CONCERN VARIED BY INCOME LEVEL, COUNTY OF RESIDENCE, OR RACE AND ETHNICITY. THIS INFORMATION WAS INVALUABLE IN PRIORITIZING NEEDS AND IN THE DEVELOPMENT OF THE IMPLEMENTATION PLAN. SCHEDULE H, PART V, SECTION B, LINE 6A DUE TO THE PROXIMITY OF GEOGRAPHIC LOCATIONS IN 2018 CHILDREN'S HOSPITAL COLORADO CONDUCTED A JOINT CHNA FOR ITS LICENSED HOSPITAL FACILITIES, WHICH INCLUDED ANSHUTZ MEDICAL CAMPUS, SOUTH CAMPUS AND PARKER ADVENTIST (HOSPITAL UNIT LICENSE). THE IRS ALLOWS HOSPITAL FACILITIES TO PRODUCE A JOINT CHNA REPORT IF THE FACILITIES USE THE SAME DEFINITIONS OF COMMUNITY AND CONDUCT A JOINT CHNA PROCESS. WE HAVE FOLLOWED THOSE REQUIREMENTS FOR THE 2018 CHNA. WHILE OUR NETWORK SERVES CHILDREN IN A SEVEN-STATE REGION, FOR THE PURPOSES OF THE 2018 CHNA WE DEFINED COMMUNITY AS ALL CHILDREN LIVING IN THE FOUR-COUNTY AREA FROM WHICH MOST OF OUR PATIENT POPULATION (72%) IS DRAWN AND IN WHICH WE HAVE FACILITIES. THIS INCLUDES ADAMS, ARAPHOE, DENVER, AND DOUGLAS COUNTIES. SCHEDULE H, PART V, SECTION B, LINE 7D IN ADDITION TO POSTING THE CHNA ON THE HOSPITAL'S EXTERNAL-FACING WEBSITE AND MAKING THE REPORT AVAILABLE UPON REQUEST, OVER 500 PHYSICAL COPIES HAVE BEEN DISTRIBUTED TO THE COMMUNITY SINCE DECEMBER 2018. AS PART OF THE CHNA COMMUNICATION PLAN CHILDREN'S CHILD HEALTH ADVOCACY INSTITUTE (CHAI) STAFF PRESENTED THE CHNA FINDINGS TO SEVERAL STAKEHOLDER GROUPS. CHAI STAFF ALSO ROUTINELY SHARE CHNA FINDINGS IN MEETINGS WITH COMMUNITY PARTNERS, WITH THE GOAL OF IDENTIFYING OPPORTUNITIES TO ENGAGE IN COLLABORATIVE EFFORTS TO ADDRESS THE AREAS OF NEED. WITH THE GOAL OF MAKING THE CHNA MORE ACCESSIBLE TO THE LARGER COMMUNITY, UPON THE COMPLETION OF THE IMPLEMENTATION STRATEGY, IN APRIL OF 2019, ADDITIONAL MATERIALS WERE MADE AVAILABLE IN VARIOUS FORMATS TO SUMMARIZE BOTH THE CHNA AND ACCOMPANYING PLAN. SCHEDULE H, PART V, SECTION B, LINE 11 THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 11 APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: IN 2018, AS PART OF OUR COMMITMENT TO BE AN ACTIVE PARTNER IN THE COMMUNITY THAT GOES WELL BEYOND THE PROVISION OF PATIENT CARE, WE CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT. THE GOAL OF THE ASSESSMENT WAS TO BETTER UNDERSTAND THE CONCERNS AND PRIORITIES OF THE FAMILIES WE SERVE, THE COMMUNITY ORGANIZATIONS WE PARTNER WITH, AND THE PROVIDERS WHO WORK WITH OUR PATIENTS. THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH SUMMARIZES THESE FINDINGS, CAN BE FOUND AT HTTPS://WWW.CHILDRENSCOLORADO.ORG/COMMUNITY/COMMUNITYHEALTH/COMMUNITY-HEAL TH-NEEDS-ASSESSMENT/. THE SUBSEQUENT IMPLEMNTATION PLAN (COMMUNITY HEALTH ACTION PLAN) COMPLETED IN 2019 SERVES AS THE FOUNDATION AND ROAD MAP TO ADDRESS THE FIVE PRIORITY NEEDS IDENTIFIED IN THE CHNA. THE PLAN OUTLINES OUR THREE-YEAR GOALS FOR EACH OF THOSE PRIORITIES AND DETAILS THE STRATEGIES THAT ARE IDENTIFIED TO ADDRESS THESE COMPLEX NEEDS. TO CREATE THE IMPLEMENTATION PLAN, CHILDREN'S HOSPITAL COLORADO USED THE INFORMATION GATHERED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT AS THE MAJOR SOURCE OF INFORMATION AND INCORPORATED ADDITIONAL INSIGHTS FROM PLANNING DISCUSSIONS WITH COMMUNITY PARTNERS. WE ALSO DECIDED TO FOCUS OUR WORK ON FIVE TYPES OF ACTIVITIES. WE BELIEVE THESE ACTIVITIES HAVE THE MOST POTENTIAL TO IMPACT CHILD HEALTH OUTCOMES AND WILL MAKE OUR WORK MORE EFFICIENT AND EFFECTIVE. STRATEGIES INCLUDE EDUCATION AND TRAINING, DIRECT SERVICES AND SUPPORT, SCREENING, REFERRALS AND NAVIGATION, AND POLICY AND ADVOCACY. A SERIES OF FIVE STRATEGY SESSIONS WAS CONVENED WITH PROVIDERS, COMMUNITY HEALTH STRATEGISTS AND ADMINISTRATORS. EACH OF THESE SESSIONS FOCUSED ON ONE OF THE CHNA FIVE PRIORITY AREAS. GOALS AND OBJECTIVES WERE DEVELOPED FOR EACH HEALTH PRIORITY AREA. THE OBJECTIVES SELECTED ARE ALL QUANTIFIABLE AND TIME-LIMITED, WHICH WILL ALLOW FOR EFFECTIVE EVALUATION OF OUR EFFORTS IN THE FUTURE. LINK TO THE 2019 COMMUNITY HEALTH ACTION PLAN: HTTPS://WWW.CHILDRENSCOLORADO.ORG/4ADC92/GLOBALASSETS/COMMUNITY/CHILDRENSH OSPITAL-COLORADO-2019-COMMUNITY-HEALTH-ACTION-PLAN.PDF CHILDREN'S HOSPITAL COLORADO RECOGNIZES THAT THE HEALTH NEEDS OF CHILDREN IN OUR COMMUNITY ARE EXTENSIVE AND REQUIRE CONTINUAL ASSESSMENT. THROUGH OUR WORK WITH SCHOOLS, PRIMARY CARE, AND COMMUNITY-BASED ORGANIZATIONS. WE CONTINUE TO LISTEN TO THE COMMUNITY AND TO IDENTIFY NEW OPPORTUNITIES TO ADDRESS COMMUNITY CONCERNS. 12 CHILDREN'S HOSPITAL CO OP SPECIALTY CARE 4125 BRIARGATE PKWY COLORADO SPRINGS CO 80920 SPECIALTY CARE, ONCOLOGY CLINICS, URGENT CARE CHILDREN'S CO HEALTH PAVILION 860 NORTH POTOMAC CIRCLE AURORA CO 80011 OT/PT, SPEECH & AUDIOLOGY, MULTI-SPECIALTY CLINICS,DENTAL CLINCIS, SPECIALTY PHARMACY CHILDREN'S HOSPITAL CO - SPECIALTY CARE 9399 CROWN CREST BLVD SUITE 300 PARKER CO 80138 SPECIALTY CARE, SPORTS MEDICINE Children's Hospital CO - Therapy Care 8401 Arista Place Broomfiled CO 80021 OT/PT, SPEECH & AUDIOLOGY SERVICES Children's Hospital CO - Therapy Care 9139 South Ridgeline BLVD 100 HIGHLANDS RANCH CO 80129 REHABILITATION & THERAPY SERVICES KidStreet 860 N Potomac Cir Aurora CO 80011 REHABILITATION & THERAPY SERVICES Children's Hospital CO - Therapy Care PRINTERS PARK MEDICAL PLAZA COLORADO SPRINGS CO 80910 OT/PT, SPEECH & AUDIOLOGY SERVICES Children's Hospital CO - Uptown 1830 FRANKLIN ST DENVER CO 80218 EMERGENCY CARE, UC, OP SPCLTY, DIAGNOSTIC, OBSERVATION LICENSEDC CMTY CLINIC 18M127 Children's Hospital CO - Therapy Care 19284 Cottonwood Drive PARKER CO 80138 OT/PT, SPEECH & AUDIOLOGY SERVICES Children's Hospital CO - UC & OP Care 3455 Lutheran PKWY WHEATRIDGE CO 80033 URGENT CARE, SPECIALIST CARE SPORTS MEDICINE Children's Hospital CO - Orthopedic Care 9094 E Mineral Ave Suite 110 CENTENNIAL CO 80112 ORTHOPEDIC CARE, RADIOLOGY SERVICES, SPORTS MEDDICINE Children's Hospital CO - Therapy Care 704 Fortino Boulevard Suite A PUEBLO CO 81008 SPEECH THERAPY, LEARNING DISABILITIES SCHEDULE H, PART I, LINE 6A CHILDREN'S COLORADO PUBLISHES AN ANNUAL COMMUNITY BENEFIT REPORT. THE 2020 REPORT WILL BE PUBLISHED AFTER THE FINALIZATION OF THE 2020 SCHEDULE H 990 REPORTING. THE 2019 REPORT CAN BE FOUND AT HTTPS://WWW.CHILDRENSCOLORADO.ORG/COMMUNITY/COMMUNITY-HEALTH/. PRIOR TO THE COMPLETION OF THE REPORT A DISTRIBUTION LIST OF COMMUNITY MEMBERS, PARTNERS AND STATE AND LOCAL OFFICIALS IS DEVELOPED, AND THE REPORT IS DISTRIBUTED UPON COMPLETION. COINCIDING WITH THE PHYSICAL DISTRIBUTION THE REPORT IS THEN PUBLISHED ON THE CHCO WEBSITE. SCHEUDLE H, PART I, LINE 7 IN 2020, CHILDREN'S HOSPITAL COLORADO PROVIDED $292,343,134 IN BENEFIT TO THE COMMUNITY. MEDICAID AT CHILDREN'S HOSPITAL COLORADO ACCOUNTED FOR $219,646,821 OF NET COMMUNITY BENEFIT EXPENSE WITH $3,748,667 IN FINANCIAL ASSISTANCE. OTHER BENEFITS ACCOUNTED FOR $68,947,708 IN NET COMMUNITY BENEFIT EXPENSE. OF THAT $21,980,556 IN COMMUNITY HEALTH IMPROVEMENT, $20,133,526 IN HEALTH PROFESSION EDUCATION, $11,585,054 IN SUBSIDIZED HEALTH SERVICES, $14,783,146 IN RESEARCH AND $465,424 IN CASH AND IN-KIND CONTRIBUTIONS FOR COMMUNITY BENEFIT. INCLUDED IN SUBSIDIZED HEALTH SERVICES ARE THOSE WHICH CHILDREN'S HOSPITAL COLORADO PROVIDES TO ITS PATIENT POPULATION AT A LOSS. IN 2020, PROGRAMS ASSOCIATED WITH THESE LOSSES ARE REHABILITATION, DERMATOLOGY, AND MENTAL HEALTH. THE NUMBER REFLECTED IN SUBSIDIZED HEALTH SERVICES EXCLUDES BAD DEBT, MEDICAID AND OTHER MEANS TESTED PROGRAMS SHORTFALLS AND FINANCIAL ASSISTANCE. CHILDREN'S HOSPITAL COLORADO IS COMMITTED TO SERVING ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. SCHEDULE H, PART II, LINE 10 IN 2020, CHILDREN'S HOSPITAL COLORADO PROVIDED $833,468 IN COMMUNITY BUILDING ACTIVITIES. THESE ACTIVITIES ARE DESIGNED TO PROMOTE THE HEALTH OF THE BROADER COMMUNITY. WE CONTINUE TO BUILD ON OUR LONG AND STRONG RECORD OF COLLABORATION WITH COMMUNITY GROUPS, BUSINESSES, ACADEMIC INSTITUTIONS AND GOVERNMENTAL AND NON-GOVERNMENTAL ORGANIZATIONS, WITH THE GOAL OF IMPROVING HEALTH OUTCOMES AND REDUCING HEALTH DISPARITIES FOR CHILDREN AND THEIR FAMILIES. SCHEDULE H, PART III, LINE 2 THE ORGANIZATION RECOGNIZES NET PATIENT SERVICE REVENUE IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (ASC) 606, REVENUE FROM CONTRACTS WITH CUSTOMERS. THE ADOPTION OF ASC 606 RESULTED IN CHANGES TO THE PRESENTATION FOR NET PATIENT SERVICES REVENUE RELATED TO UNINSURED OR UNDERINSURED PATIENTS. UNDER ASC 606, THE ESTIMATED UNCOLLECTABLE AMOUNTS DUE FROM THESE PATIENTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE, RATHER THAN AS A PROVISION FOR BAD DEBTS, AND ARE BASED PRIMARILY ON HISTORICAL COLLECTION EXPERIENCE. OTHER THAN THESE CHANGES IN PRESENTATION, THE ADOPTION OF ASC 606 DID NOT HAVE A MATERIAL IMPACT ON THE OVERALL FINANCIAL STATEMENTS OF THE ORGANIZATION. EXPANDED DISCLOSURES REQUIRED BY ASC 606 ARE INCLUDED WITHIN NOTE 4, NET PATIENT SERVICES REVENUE. SCHEDULE H, PART III, LINE 3 CHILDREN'S HOSPITAL INACTIVATES AR BALANCES BETWEEN 150-175 DAYS AFTER THE FIRST BILLING CYCLE. ACCOUNTS ARE REFERRED TO COLLECTION AGENCIES FOR RECOVERY. THE HOSPITAL DOES NOT REPORT ANY BAD DEBT AMOUNT IN COMMUNITY BENEFIT. SCHEDULE H, PART III, LINE 4 THE ORGANIZATION RECOGNIZES NET PATIENT SERVICE REVENUE IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (ASC) 606, REVENUE FROM CONTRACTS WITH CUSTOMERS. THE ADOPTION OF ASC 606 RESULTED IN CHANGES TO THE PRESENTATION FOR NET PATIENT SER VICES REVENUE RELATED TO UNINSURED OR UNDERINSURED PATIENTS. UNDER ASC 606, THE ESTIMATED UNCOLLECTABLE AMOUNTS DUE FROM THESE PATIENTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE, RATHER THAN AS A PROVISION FOR BAD DEBTS, AND ARE BASED PRIMARILY ON HISTORICAL COLLECTION EXPERIENCE. OTHER THAN THESE CHANGES IN PRESENTATION, THE ADOPTION OF ASC 606 DID NOT HAVE A MATERIAL IMPACT ON THE OVERALL FINANCIAL STATEMENTS OF THE ORGANIZATION. EXPANDED DISCLOSURES REQUIRED BY ASC 606 ARE INCLUDED WITHIN NOTE 4, NET PATIENT SERVICES REVENUE. SCHEDULE H, PART III, LINE 8 THE SHORTFALL REPORTED IN LINE 7 REPRESENTS MEDICARE SHORTFALLS FOR HIGH NEED PEDIATRIC PATIENTS SERVED BY CHILDREN'S HOSPITAL COLORADO. IF CHILDREN'S HOSPITAL COLORADO DID NOT SUBSIDIZE THE HIGHLY SPECIALIZED CARE, ACCESS FOR THIS POPULATION WOULD BE LIMITED, THUS WE VIEW THIS CARE AS COMMUNITY BENEFIT. THE HOSPITAL UTILIZED COST TO CHARGE RATIO METHODOLOGY TO ARRIVE AT THIS NUMBER. THE AMOUNT INCLUDES ALL COSTS LESS ALL PAYMENTS RECEIVED. SCHEDULE H, PART III, LINE 9B YES, THE ORGANIZATION DOES HAVE A WRITTEN DEBT COLLECTION POLICY. PRIOR TO DEBT REFERRALS, ACCOUNTS ARE REVIEWED FOR ALL THIRD-PARTY PAYER ELIGBILITY PRIOR TO QUALIFYING FOR ANY CHARITY CARE OR FINANCIAL ASSISTANCE. ONCE THE PATIENT'S RESPONSIBILITY IS VALIDATED, THE HOSPITAL PROVIDES SLIDING SCALE DISCOUNTS BASED ON INCOME AND/OR EXPENSES. PARENTS WHOSE CHILDREN DO NOT QUALIFY FOR MEDICAID CAN ALSO APPLY FOR THIS DISCOUNT PLAN. THE HOSPITAL HAS A DEDICATED FINANCIAL COUNSELING/SERVICES DEPARTMENT WHO WORK CLOSELY WITH PARENTS TO ESTABLISH PAYMENT PLANS. SCHEDULE H, PART VI, LINE 2 IN ADDITION TO THE CHNA, CHILDREN'S HOSPITAL COLORADO REGULARLY ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY WE SERVE. ACROSS THE HOSPITAL, NUMEROUS INTERNAL AND EXTERNAL DATA SOURCES ARE REGULARLY MONITORED AND UTILIZED TO IDENTIFY TRENDS AND OPPORTUNITIES TO IMPACT CHILD HEALTH. ADDITIONALLY, HOSPITAL STAFF DEDICATES SIGNIFICANT TIME TO SERVING ON COMMUNITY BOARDS AND OTHER COMMUNITY GROUPS THAT ASSESS HEALTH NEEDS OF THE COMMUNITY AND PROACTIVELY PARTICIPATES IN THE HEALTH IMPROVEMENT EFFORTS LED BY THESE PARTNERS. IN 2018, CHCO FORMALIZED A POPULATION HEALTH STRATEGY. THE GOAL IS THE CREATION AND OPERATION OF A COMMUNITY BASEDPARTNER DRIVEN NETWORK OF CARE. THIS NETWORK BOTH EXPANDS ACCESS TO TRADITIONAL PEDIATRIC HEALTHCARE AND EXPANDS ACCESS TO NON-TRADITIONAL CARE THAT ADDRESSES A CHILD'S TOTAL PICTURE OF HEALTH. A COMMUNITY BASED, PARTNER DRIVEN NETWORK OF CARE REQUIRES IDENTIFYING PARTNERS THAT WILL ENGAGE IN A TRANSFORMATIVE SYSTEM OF CARE, ONE THAT ALLOWS A PEDIATRIC SPECIALTY HOSPITAL TO WORK WITH COMMUNITY BASED PARTNERS TO GENERATE IMPROVED HEALTH FOR ALL KIDS IN A TARGETED REGION, DESPITE NEVER BEING PATIENTS OR HAVING LIMITED INTERACTIONS WITH THAT HOSPITAL. THE NETWORK SUPPORTS IMPROVEMENTS IN THE DELIVERY OF TRADITIONAL HEALTHCARE SERVICES, LIKE THE NUMBER OF IMMUNIZATIONS, WELL-CHILD VISITS, ORAL HEALTH SCREENINGS AND BEHAVIORAL HEALTH INTERVENTIONS. IN ADDITION, SUPPORTING IMPROVEMENTS IN SOCIAL CONDITIONS IMPACTING HEALTH SUCH AS INCREASED ATTENDANCE AT SCHOOL, INCREASED ACCESS TO NUTRITIONAL FOOD AND SUSTAINED ACCESS TO STABLE HOUSING. THIS WORK WILL INFORM HOW WE ESTABLISH EFFECTIVE HEALTH SYSTEM COMMUNITY BASED ORGANIZATION COLLABORATIONS WHILE WORKING TOWARD LONG-TERM SUSTAINABILITY IN HOW HEALTH CARE IS DELIVERED TO THE CHILDREN AND FAMILIES WE SERVE. SCHEDULE H, PART VI, LINE 3 CHILDREN'S HOSPITAL COLORADO HAS A PROCESS FOR INFORMING AND EDUCATING FAMILIES ABOUT HOW THEY MAY BE BILLED FOR PATIENT CARE AND THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. CHILDREN'S HOSPITAL COLORADO'S FULL TIME PATIENT FINANCIAL COUNSELORS ARE DEDICATED TO WORKING WITH FAMILIES TO PROVIDE GUIDANCE REGARDING AVAILABLE FINANCIAL ASSISTANCE WHICH ENSURES THAT ITS PATIENT POPULATION RECEIVES THE CRITICAL CARE IT NEEDS. ADDITIONALLY, CHILDREN'S HOSPITAL COLORADO PROVIDES PATIENT ASSISTANCE TO HELP IDENTIFY COMMUNITY-BASED RESOURCES, FACILITATE SERVICES AND PROVIDE APPROPRIATE REFERRAL ASSISTANCE TO HELP WITH CONTINUITY OF CARE. INPATIENT PROCESS: THIS PROCESS APPLIES TO PATIENTS WHO ARE BEING ADMITTED FOR OBSERVATION, SURGERY OR OTHER INPATIENT SERVICES. IF THE PATIENT IS PRE-SCHEDULED, CHILDREN'S HOSPITAL COLORADO PATIENT ACCESS WORKS TO CONTACT THE FAMILY PRIOR TO ADMISSION TO ARRANGE FOR A FINANCIAL SCREENING APPOINTMENT. REGARDLESS OF WHETHER AN APPOINTMENT IS SET PRIOR TO ADMISSION, THE PATIENT FINANCIAL COUNSELING TEAM WORKS WITH THE FAMILY TO DETERMINE THEIR SELF-PAY STATUS (EITHER NON-COMMERCIAL OR GOVERNMENT INSURANCE) AND SUBSEQUENTLY WORKS WITH THEM TO SCREEN FOR FINANCIAL ASSISTANCE OPTIONS. OUTPATIENT PROCESS: WHEN A PATIENT SCHEDULES A NON-EMERGENT OR URGENT OUTPATIENT CLINIC VISIT, THEY WILL IDENTIFY THEMSELVES AS SELF-PAY IF THEY DO NOT HAVE EITHER COMMERCIAL OR GOVERNMENT INSURANCE. AT THIS POINT, THEY ARE GIVEN TWO OPTIONS: (1) PAY A $200 DEPOSIT AT THE TIME OF APPOINTMENT AND BE BILLED ANY REMAINING BALANCE OR (2) SCHEDULE TIME WITH PATIENT FINANCIAL COUNSELING FOR ASSISTANCE. IF THE PATIENT WAS SEEN IN THE EMERGENCY DEPARTMENT OR URGENT CARE WITHOUT THE PRE-SCREEN, THEY STILL CAN APPLY FOR FINANCIAL ASSISTANCE WITH THE PATIENT FINANCIAL COUNSELING OFFICE. ALL SELF-PAY FAMILIES ARE AUTOMATICALLY GIVEN A 35 PERCENT DISCOUNT. CHILDREN'S HOSPITAL COLORADO HAS A FORMAL POLICY REGARDING ELIGIBILITY CRITERIA FOR CHARITY CARE. THE DECISION TO PROVIDE CHARITY CARE WILL BE, IN ALL CASES, BASED ON A REVIEW OF THE INCOME, ASSETS AND LIABILITIES OF THE FAMILY AT THE TIME OF ADMISSION TO THE HOSPITAL OR CLINIC. THE LEVELS OF CHARITY CARE AND FINANCIAL ASSISTANCE PROVIDED BY CHILDREN'S HOSPITAL COLORADO WILL BE DETERMINED BASED ON FEDERAL POVERTY GUIDELINES WHICH MAY BE ADJUSTED UP TO 200 PERCENT AND REVISED FROM TIME TO TIME. FAMILIES WITH ADJUSTED GROSS INCOME BETWEEN 200 PERCENT AND 400 PERCENT OF FEDERAL POVERTY GUIDELINES MAY ALSO BE CONSIDERED FOR CHARITY CARE WITH A CAP FOR OUT-OF-POCKET RESPONSIBILITY. DETERMINATION OF ELIGIBILITY WILL BE EFFECTIVE FOR SIX MONTHS AND APPLY TO ALL PATIENTS REGARDLESS OF IMMIGRATION STATUS. CHILDREN'S COLORADO WORKS TO PROVIDE NECESSARY HOSPITAL-RELATED SERVICES CONSISTENT WITH ITS MISSION, ITS STATUS AS A NONPROFIT HOSPITAL AND ITS STEWARDSHIP RESPONSIBILITY TO ITS DONORS. CHILDREN'S HOSPITAL COLORADO'S FINANCIAL ASSISTANCE PUBLIC POLICY AND PLAIN LANGUAGE SUMMARY ARE LISTED ON THE ORGANIZATION'S HOMEPAGE WWW.CHILDRENSCOLORADO.ORG. SCHEDULE H, PART VI, LINE 4 THE ANSCHUTZ MEDICAL CAMPUS, SOUTH CAMPUS, NORTH CAMPUS AND CHILDREN'S HOSPITAL COLORADO AT PARKER ADVENTIST ARE WITHIN THE DESIGNATED DENVER METROPOLITAN AREA, "METRO DENVER." OUR PATIENT POPULATION REFLECTS THAT MOST INPATIENT ADMISSIONS AND OUTPATIENT VISITS ARE FROM CHILDREN WHO LIVE IN FOUR METRO DENVER COUNTIES: ARAPAHOE, ADAMS, DENVER, AND DOUGLAS. THE ANSCHUTZ MEDICAL CAMPUS RESIDES IN AURORA, COLORADO WHICH IS THE THIRD MOST POPULOUS CITY IN THE STATE OF COLORADO AND SPANS ACROSS THREE COUNTIES (ADAMS, ARAPAHOE, AND DOUGLAS). AURORA REPRESENTS SOME OF THE GREATEST CULTURAL, ETHNIC, AND ECONOMIC DIVERSITY IN THE STATE. THE CITY OF AURORA REPORTS THAT 20% OF AURORA RESIDENTS ARE BORN OUTSIDE THE UNITED STATES AND 33% OF RESIDENTS SPEAK ANOTHER LANGUAGE AT HOME. THE CHILDREN'S HOSPITAL COLORADO, COLORADO SPRINGS HOSPITAL OPENED MAY 28, 2019. THE FACILITY IS SOUTHERN COLORADO'S FIRST PEDIATRIC-ONLY HOSPITAL. PROVIDING MORE THAN 175,000 KIDS IN SOUTHERN COLORADO AND SURROUNDING STATES WITH PEDIATRIC CARE CLOSER TO HOME. CHILDREN'S HOSPITAL COLORADO, COLORADO SPRINGS IS IN EL PASO COUNTY WITHIN SOUTH CENTRAL COLORADO. THE CENSUS BUREAU'S 2020 RESULTS INDICATE EL PASO IS THE MOST POPULOUS COUNTY IN COLORADO, SURPASSING THE CITY AND COUNTY OF DENVER. 2019 U.S. CENSUS BUREAU DATA SHOWS THAT 10 PERCENT OF CHILDREN UNDER THE AGE OF 18 IN EL PASO COUNTY LIVE BELOW THE POVERTY LINE. THE COUNTY SEAT IS COLORADO SPRINGS, THE SECOND MOST POPULOUS CITY IN COLORADO. UNITED STATES ARMY, AIR FORCE AND SPACE FORCE BASES ARE SITUATED IN THE COUNTY, WHICH LEADS TO A SIGNIFICANT PRESENCE OF MILITARY FAMILIES AND ADDS TO THE DIVERSITY OF POPULATION. ADDITIONALLY, CHILDREN'S HOSPITAL COLORADO WORKS TO DELIVER OUR MISSION NOT ONLY IN THE DENVER METRO AREA AND THE STATE OF COLORADO, BUT ALSO THROUGHOUT THE ROCKY MOUNTAIN REGION AND ACROSS THE NATION. CHILDREN'S HOSPITAL COLORADO IS COMMITTED TO SERVING ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN 2020, THE COVERAGE MIX AMONGST OUR PATIENT POPULATION INCLUDE 46.5% MEDICAID, 45.7% MANAGED/COMMERCIAL CARE, 6.2% OTHER GOVERNMENT PROGRAMS, AND 1.7% SELF-PAY AND INDIGENT. IN 2020, THE NETWORK HAD MORE THAN 15,000 INPATIENT ADMISSIONS, 554,650 OUTPATIENT VISITS AND 120,000 EMERGENCY AND URGENT CARE VISITS. SCHEDULE H, PART VI, LINE 5 IN 2020, THE COVID-19 PANDEMIC PRESENTED CHALLENGES THAT WILL HAVE LONG LASTING EFFECTS ON BOTH THE FIELD OF PEDIATRIC HEALTHCARE AND THE LIVES OF THE PATIENTS AND FAMILIES WE SERVE. SINCE MARCH 2020, CHILDREN'S HOSPITAL COLORADO HAS BEEN COMMITTED TO A SYSTEMATIC RESPONSE TO THE COVID-19 PANDEMIC. IN ADDITION TO MAINTAINING OUR FOCUS ON PROVIDING EXCEPTIONAL, QUALITY CARE FOR PATIENTS AND FAMILIES, CHILDREN'S COLORADO HAS DEDICATED FINANCIAL, PEOPLE AND PHYSICAL RESOURCES TO HELP MITIGATE THE EFFECTS OF THE PANDEMIC ON OUR COMMUNITY. EARLY IN THE COVID-19 PANDEMIC, CHILDREN'S HOSPITAL COLORADO'S INCIDENT COMMAND CENTER ESTABLISHED THE SCIENTIFIC ADVISORY COUNCIL (SAC), AN ACADEMIC-OPERATIONAL PARTNERSHIP TO ADVISE HOSPITAL LEADERS ON THE BEST AVAILABLE EVIDENCE FOR SCREENING AND TREATING CHILDREN WITH COVID-19 AND PROTECTING HEALTHCARE WORKERS. THIS MULTIDISCIPLINARY TEAM OF SCIENTISTS, CLINICIANS AND OPERATIONAL LEADERS' CHARGE IS TO REVIEW AND TRANSLATE THE RAPIDLY EVOLVING COVID-19 LITERATURE TO GUIDE THE ORGANIZATION'S CLINICAL AND OPERATIONAL PRACTICE AND POLICY THROUGHOUT THE CRISIS. CHILDREN'S COLORADO HAS PUBLICLY PROVIDED THESE TESTED DOCUMENTS, TOOLS AND RESOURCES TO ASSIST OTHER HEALTHCARE SYSTEMS. THESE RESOURCES ARE DESIGNED TO HELP WITH ANY RAPIDLY DEVELOPING PUBLIC HEALTH EMERGENCY OR EMERGING DISEASE - NOT ONLY COVID-19. THE STATE OF COLORADO HAS BEEN ABLE TO RELY ON CHILDREN'S HOSPITAL COLORADO'S DEDICATED PARTNERSHIP TO SUPPORT ITS COVID-19 RESPONSE AND TO IMPROVE THE HEALTH OF COLORADO'S CHILDREN AND FAMILIES. AT THE REQUEST OF OUR GOVERNOR AND STATE HEALTH DEPARTMENT, CHCO RAPIDLY INSTITUTED A COVID 19 RESPONSE INFRASTRUCTURE THAT INCLUDED MOBILE TESTING SITES, LAB SERVICES, PUBLIC HEALTH EDUCATION RESOURCES AND WEBINARS FOR MEDICAL PROFESSIONALS AS WELL AS COMMUNITY MEMBERS, MASK DECONTAMINATION FOR COMMUNITY-BASED PROVIDERS, LAB SERVICES FOR COMMUNITY-BASED TESTING, AND SHARED MEDICAL SUPPLIES TO MANAGE STATEWIDE NEEDS. CHCO WAS THE FIRST IN THE STATE - AND ONE OF THE FIRST IN THE COUNTRY - TO COLLECT ANTIBODY-RICH CONVALESCENT PLASMA TO COMBAT COVID-19. BETWEEN MARCH AND SEPTEMBER 2020, WE FACILITATED 522 CONVALESCENT PLASMA DONATIONS FROM 220 DONORS. WE ALSO PROVIDED THIS PLASMA TO 22 DIFFERENT ORGANIZATIONS. IN RESPONSE TO STAY-AT-HOME ORDERS, OUR TELEHEALTH DEPARTMENT MADE SWIFT ADJUSTMENTS IN THE USE OF TELEMEDICINE TO ENABLE CONTINUITY OF HIGH-QUALITY CARE FOR OUR PEDIATRIC PATIENTS. IN THE FIRST SIX BUSINESS DAYS OF APRIL 2020, 5,000 OUTPATIENT TELEHEALTH VISITS WERE COMPLETED. THAT'S ROUGHLY EQUAL TO THE NUMBER OF TELEHEALTH VISITS THEY COMPLETED IN ALL OF 2019. IN RECOGNITION OF THE CHALLENGES PRIMARY CARE PROVIDERS (PCPS) FACED DURING THE INITIAL STAGES OF THE PANDEMIC WE WORKED WITH PCPS TO ADDRESS OPERATIONAL CONCERNS REGARDING THE HEALTH AND SAFETY OF THEIR PATIENTS AND STAFF, SERVICES FOR PATIENTS, TELEHEALTH FUNCTIONALITY, PERSONAL PROTECTIVE EQUIPMENT (PPE) LEADING TO THE DEVELOPMENT OF AN ON-LINE RESOURCE GUIDE TO IMPLEMENTING TELEMEDICINE SERVICES AND OTHER HEALTH AND SAFETY PROTOCOLS. AT THE START OF THE PANDEMIC, WE BEGAN HOSTING COVID-19 VIRTUAL TOWN HALLS FOR PCPS ON THE SECOND AND FOURTH THURSDAY OF EACH MONTH FROM 6 TO 7:30 P.M. MST. EACH TOWN HALL FEATURES TIMELY EPIDEMIOLOGY UPDATES FROM CHILDREN'S COLORADO'S PEDIATRIC INFECTIOUS DISEASE AND SENIOR LEADERSHIP TEAMS, IMPLICATIONS FOR PRIMARY CARE AS A RESULT OF THE PANDEMIC (SUCH AS MENTAL HEALTH, RETURN TO SPORT, ETC.), AND AN OPEN FORUM Q&A FOR PARTICIPANTS. ADDITIONALLY, THROUGHOUT THE PANDEMIC, OUR SYSTEM WAS COMMITTED TO PROVIDING THE MOST UP-TO DATE FAMILY-FRIENDLY INFORMATION AND RESOURCES TO SUPPORT KIDS AND FAMILIES THROUGH THE PANDEMIC. INCLUDING A CORONAVIRUS HOTLINE, ANSWERING QUESTIONS ABOUT COVID-19 SYMPTOMS, VACCINES AND WHERE TO ACCESS HEALTH CARE. THE 2020 SCHOOL YEAR WAS PARTICULARLY CHALLENGING FOR THE SCHOOL AND CHILDCARE SITES WE SERVE. EARLY IN THE PANDEMIC, THE SCHOOL HEALTH NURSING TEAM FOUND THAT SOME NEEDS - LIKE FIELDING CALLS FROM EDUCATORS AND PARENTS WITH QUESTIONS ABOUT HOW TO MANAGE A CHILD'S DIABETES OR ASTHMA - COULD BE MET VIRTUALLY, VIA TELEHEALTH. THE SCHOOL HEALTH NURSING TEAM CONTINUED TO SERVE AS AN ADVISORY PARTNER FOR SCHOOL STAFF AND PARENTS THROUGHOUT THE PANDEMIC, DELIVERING TRAININGS AND CONSULTATIONS VIRTUALLY FOR BOTH INDIVIDUAL HEALTH NEEDS AND SYSTEMWIDE SAFETY GUIDANCE. COMPLICATING THE IMPACT OF COVID-19, COLORADO STUDENTS WENT VIRTUAL MID MARCH, BUT STATE PUBLIC HEALTH GUIDANCE FOR SCHOOLS WAS NOT RELEASED UNTIL SEPTEMBER. DURING THAT SIX-MONTH GAP, CHILDREN'S ORGANIZED BIWEEKLY TOWN HALL MEETINGS WITH SCHOOL ADMINISTRATORS AND THEIR HEALTH STAFF, PROVIDING THEM ACCESS TO OUR INFECTIOUS DISEASE DOCTORS WHO BEGAN TO ADVISE SCHOOLS HOW TO SAFETY OPERATE DURING THE PANDEMIC. THESE TOWN HALLS BECAME A BOON FOR MANY PARENTS, WHO WERE STRUGGLING TO BALANCE THEIR CONCERNS ABOUT CHILD AND FAMILY SAFETY WITH THEIR ABILITY TO ACCESS CHILDCARE, MANAGE VIRTUAL LEARNING, AND ENSURE THEIR CHILD CONTINUED ACCESSING THE HEALTH SERVICES NORMALLY DELIVERED IN-PERSON AT SCHOOL. AFTER THE STATE ISSUED THEIR GUIDANCE IN SEPTEMBER 2020, CHILDREN'S CONTINUED TO OFFER THESE TOWN HALLS AND PARTICIPATION HAS GROWN TO NEARLY 400 REGISTERED PARTICIPANTS FROM ACROSS COLORADO. THESE TOWN HALLS HAVE ALSO BEEN AN EXTREMELY EFFECTIVE VENUE TO SHARE THE LATEST INFORMATION ON THE COVID-19 VACCINE AND EQUIP SCHOOL LEADERS WITH THE INFORMATION THEY NEED TO ENCOURAGE IT AMONG THEIR STAFF AND SCHOOL COMMUNITY. THE IMMEDIATE IMPACT OF STAY-AT-HOME ORDERS IMPOSED COMPLEX SOCIAL AND ECONOMIC CHALLENGES FOR MANY FAMILIES. THE COMPLEXITY OF NEEDS CONTINUED TO BE PARAMOUNT THROUGHOUT 2020. CRITICAL NEEDS INCLUDED BABY FORMULA, DIAPERS, FOOD, UTILITY ASSISTANCE, HOUSING AND EVICTION PREVENTION, AND PUBLIC BENEFITS. PRIOR TO THE PANDEMIC, CHILDREN'S COLORADO HAD SYSTEMS IN PLACE TO ADDRESS SOCIAL DETERMINANTS OF HEALTH WITHIN OUR WALLS AND IN THE COMMUNITY AND WE WERE ABLE TO RAPIDLY ADJUST TO ADDRESS THE MOST PRESSING NEEDS OF OUR FAMILIES AND THE COMMUNITY. RESOURCE CONNECT, INCLUDING THE HEALTHY ROOTS FOOD CLINIC (HRFC), RESPONDED TO THE FINANCIAL STRAIN FAMILIES FACED BY THE RAPID ON-SET OF THE COVID-19 PANDEMIC. HRFC QUICKLY MOBILIZED TO OFFER FOOD DISTRIBUTION IN COORDINATION WITH THE AURORA PUBLIC SCHOOLS (APS) NUTRITION SERVICES DEPARTMENT AT 8 SCHOOL SITES 4 DAYS PER WEEK THROUGHOUT THE HEIGHT OF THE PANDEMIC. THE HRFC TEAM DISTRIBUTED 313 TONS OF FOOD TO 13,006 FAMILIES. AS EMERGENCY FOOD DISTRIBUTION EFFORTS WERE UNDERWAY, THE HRFC TEAM WORKED THROUGHOUT 2020 TO PROVIDE TECHNICAL ASSISTANCE TO APS TO OPEN A HEALTHY FOOD PANTRY AT CRAWFORD ELEMENTARY SCHOOL AND AURORA CENTRAL HIGH SCHOOL, PROVIDING A SUSTAINABLE MODEL THAT MIRRORED THE EFFORTS OF THE HRFC. IN ADDITION TO THE EXPANSION OF THE HRFC MODEL, PLANS WERE MADE TO INCREASE ENROLLMENT IN THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) AND EXECUTE PARTNER AGENCY AGREEMENTS WITH FOOD BANK OF THE ROCKIES. THE HEALTH NAVIGATION TEAM PLAYED A CRITICAL ROLE IN ADDRESSING SOCIAL DETERMINANTS OF HEALTH FOR PATIENTS AND FAMILIES IN A VARIETY OF CLINICAL AND COMMUNITY SETTINGS ADDRESSING NEEDS WHICH BECAME MORE PREVALENT DURING THE PANDEMIC. THE TEAM PROVIDED RESOURCE SUPPORT TO OVER 13,000 FAMILIES IN 2020. COVID-19 RESPONSE REQUIRED ADJUSTMENTS TO THE DELIVERY OF INJURY PREVENTION PROGRAMING ACROSS OUR SYSTEM PARTICULARLY OUR CHILD PASSENGER SAFETY PROGRAMS. AT OUR ANSCHUTZ CAMPUS, IN-PERSON PROGRAM WAS SHUT DOWN BETWEEN MARCH AND JULY OF 2020. REQUIRING THE TEAM TO SWITCH TO A VIRTUAL EDUCATION MODEL. THE TEAM WORKED TO MIRROR THIS VIRTUAL MODEL ACROSS ALL CLINICS INVOLVED IN OUR CHILD PASSENGER SAFETY VOUCHER PROGRAM AND WERE ABLE TO OFFER VIRTUAL SUPPORT AND UTILIZE SHIPPING CARRIERS TO DELIVER CAR SEATS DIRECTLY TO FAMILIES IN NEED. IN 2020, THIS TEAM PROVIDED A TOTAL OF 105 REAR-FACING CONVERTIBLE SEATS, 12 COMBINATION SEATS, AND 9 BOOSTER SEATS TO FAMILIES IN NEED AT A SUBSIDIZED COST OF $10 OR LESS. CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS (CHCO-COS), ALSO ADJUSTED TO CONDUCTING 1-ON-1 CAR SEAT APPOINTMENTS WHEN ALLOWED IN ALIGNMENT WITH COVID-19 PROTOCOLS. WE CHECKED A TOTAL OF 154 CAR SEATS AND EDUCATING 157 CAREGIVERS FOR THE YEAR, CONDUCTING APPOINTMENTS IN SPANISH WHEN REQUESTED, AND PROVIDING 30 SUBSIDIZED CAR SEATS TO FAMILIES IN NEED. THE TEAM ALSO CONDUCTED IN-PERSON AND VIRTUAL CAR SEAT SAFETY PRESENTATIONS FOR A MILITARY BASE AND NON-PROFIT ORGANIZATIONS, ONE WHICH SUPPORTS FAMILIES EXPERIENCING ABUSE, NEGLECT, AND ADDICTION, REACHING 48 CAREGIVERS. OUR GOVERNMENT AFFAIRS TEAM WORKED WITH ELECTED OFFICIALS AND COMMUNITY LEADERS TO HELP CHILDREN AND FAMILIES WEATHER THE CURRENT PUBLIC HEALTH EMERGENCY RELATED TO COVID-19. THE TEAM ENGAGED OUR CHILD HEALTH CHAMPIONS NETWORK TO SEND 940 EMAILS TO COLORADO'S FEDERAL CONGRESSIONAL DELEGATION, URGING THEM TO PASS EMERGENCY COVID-19 RELIEF TO ENSURE HEALTHCARE PROVIDERS HAVE THE RESOURCES NEEDE SCHEDULE H, PART VI, LINE 6 AFFILIATIATED HC SYSTEM - N/A SCHEDULE H, PART VI, LINE 7 IN 2019, COLORADO LAWMAKERS PASSED HB19-1320 REQUIRING NONPROFIT HOSPITALS TO SUBMIT AN ANNUAL COMMUNITY BENEFIT REPORT. true CROHNS & COLITIS FOUNDATION OF AMERICA 733 THIRD AVE 510 NEW YORK NY 10017 136193105 501(c)(3) 6000 0 GENERAL PROGRAM SUPPORT ST ANTHONY HOSPITAL 11600 WEST 2ND PLACE LAKEWOOD CO 80228 840902211 501(c)(3) 6000 0 GENERAL PROGRAM SUPPORT YOUNG AMERICANS CENTER FOR FINANCIAL 3550 E FIRST AVE DENVER CO 80206 841564926 501(c)(3) 10000 0 GENERAL PROGRAM SUPPORT DENVER ZOO 2300 STEELE STREET DENVER CO 80205 840502539 501(c)(3) 50000 0 GENERAL PROGRAM SUPPORT REAL COLORADO 8200 S AKRON ST 122 CENTENNIAL CO 80112 742392779 501(c)(3) 30000 0 GENERAL PROGRAM SUPPORT COLORADO COLLEGE 14 E CACHE la POUDRE COL SPRINGS CO 80903 840402510 501(c)(3) 11750 0 GENERAL PROGRAM SUPPORT CHEYENNE MOUNTAIN ZOOLOGICAL SOCIETY 4250 CHEYENNE Mtn COL SPRINGS CO 80906 840407039 501(c)(3) 81000 0 GENERAL PROGRAM SUPPORT COLORADO RUSH SOCCER 8101 S SHAFFER PK 103 LITTLETON CO 80127 841411827 501(c)(3) 15000 0 GENERAL PROGRAM SUPPORT CHILDRENS MUSEUM OF DENVER INC 2121 CHILDRENS MUS DR DENVER CO 80211 840658142 501(c)(3) 40000 0 GENERAL PROGRAM SUPPORT PIKES PEAK LIBRARY DISTRICT FOUNDATION 1175 CHAPEL HILLS DR COL SPRINGS CO 80920 113690724 501(c)(3) 12000 0 GENERAL PROGRAM SUPPORT YOUNG MEN CHRISTIAN ASSOCIATION 316 N TEJON ST COLORADO SPRINGS CO 80903 840404266 501(c)(3) 30000 0 GENERAL PROGRAM SUPPORT CHEYENNE FRONTIER DAYS INC PO BOX 2477 CHEYENNE WY 82003 830297781 501(c)(3) 18300 0 GENERAL PROGRAM Support SWITHBACKS FC 234 N TEJON ST COLORADO SPRINGS CO 80903 464110067 501(c)(3) 18000 0 GENERAL PROGRAM SUPPORT RONALD MCDONALD HOUSE CHARITIES 4223 ROYAL PINE DR COL SPRINGS CO 80920 841013843 501(c)(3) 14500 0 GENERAL PROGRAM SUPPORT FOOTHILLS PARK & RECREATION DISTRICT 6612 S WARD ST LITTLETON CO 80127 846013730 501(c)(3) 7500 0 GENERAL PROGRAM SUPPORT COLORADO SPRINGS CONSERVATORY 415 S SAHWATCH ST COL SPRINGS CO 80903 841502211 501(c)(3) 10000 0 GENERAL PROGRAM SUPPORT Gold Crown Foundation 1743 Wazee Street Ste 300 Denver CO 80202 742422126 501(c)(3) 45000 0 GENERAL PROGRAM SUPPORT 17 0 SCHEDULE I, PART I, LINE 2 CHILDREN'S HOSPITAL COLORADO RELIES ON THE GOVERNANCE PRACTICES OF THE RECIPIENT EXEMPT ORGANIZATIONS TO MONITOR THE USE OF FUNDS AS INTENDED. X X X X false true false false false false false true false GREGORY RAYMOND SVP COLORADO SPRINGS COO 268938 0 113314 0 44401 0 93319 0 22573 0 542545 0 42960 0 MICHELLE LUCERO General Counsel/Secretary 417415 0 131857 0 92079 0 129310 0 16267 0 786928 0 86117 0 DAVID BIGGERSTAFF EVP AND COO 602854 0 254884 0 4687 0 176541 0 25295 0 1064261 0 0 0 SUZANNE JAEGER SVP CHIEF PATIENT EXP & ACCESS 315496 0 98179 0 69973 0 109209 0 19351 0 612208 0 65515 0 JEFFREY HARRINGTON SR. VP/CFO 543630 0 195785 0 106738 0 151819 0 22573 0 1020545 0 102410 0 RAPHE SCHWARTZ SVP AND CHIEF STRATEGY OFFICER 386845 0 135000 0 1930 0 106418 0 22573 0 652766 0 0 0 PATRICIA GIVENS SVP PATIENT CARE SVCS & CNO 323656 0 95335 0 69032 0 90803 0 18 0 578844 0 61895 0 DANA MOORE SVP AND CIO 447140 0 142824 0 6552 0 137538 0 25295 0 759349 0 0 0 JENA HAUSMANN CEO & PRESIDENT 988573 0 518881 0 203343 0 281471 0 25295 0 2017563 0 199664 0 ELIZABETH RODRIGUEZ SVP CHIEF HR OFFICER 367392 0 113006 0 75848 0 101670 0 23940 0 681856 0 67594 0 MARGARET SABIN SVP COLORADO SPRINGS PRESIDENT 454587 0 145724 0 91533 0 136216 0 18 0 828078 0 81508 0 JARROD MILTON SVP PROFESSIONAL SUPPORT SVCS 268530 0 81293 0 51199 0 85596 0 20431 0 507049 0 49131 0 SCHEDULE J, PART I, LINE 4b THE FOLLOWING INDIVIDUALS RECEIVED PAYOUTS FROM A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN: SUZANNE JAEGER $ 65,515 JERROD MILTON $ 49,131 GREGORY RAYMOND $ 42,960 JEFFREY HARRINGTON $102,410 JENA HAUSMANN $199,664 PATRICIA GIVENS $ 61,895 MICHELLE LUCERO $ 86,117 ELIZABETH RODRIGUEZ $ 67,594 MARGARET SABIN $ 81,508 Schedule J, Part I, Line 7 CERTAIN INDIVIDUALS ARE ELIGIBLE TO PARTICIPATE IN THE INCENTIVE PLAN FOR CHILDREN'S COLORADO, THE COMPONENTS OF WHICH INCLUDE ACHIEVEMENT OF ORGANIZATIONAL PERFORMANCE GOALS AND INDIVIDUAL PERFORMANCE GOALS. BECAUSE THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS RESERVES THE RIGHT TO CHANGE, AMEND OR TERMINATE THIS PLAN AT ANY TIME, FOR ANY REASON, AT ITS SOLE DISCRETION AND BECAUSE OF CERTAIN OTHER CONDITIONS OF THE PLAN, LINE 7 REGARDING "NON-FIXED PAYMENTS" IS ANSWERED YES. NOTE THAT PRIOR TO THE PAYMENT OF ANY AMOUNTS TO AN INDIVIDUAL WHO IS CONSIDERED A DISQUALIFIED PERSON, THE COMPENSATION COMMITTEE SHALL CERTIFY IN WRITING THE EXTENT TO WHICH THE PERFORMANCE FACTORS ESTABLISHED BY THE COMPENSATION COMMITTEE HAVE BEEN SATISFIED AND SHALL APPROVE THE PAYMENT OF SUCH BONUSES TO SUCH INDIVIDUALS. SEE PART VI, LINES 15A AND 15B FOR ADDITIONAL INFORMATION ON EXECUTIVE COMPENSATION. A COLORADO HEALTH FACILITIES AUTHORITY 840752932 1964BAL52 2013-08-14 309252566 SERIES 2013 - SEE PART VI false false false B COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648A7J8 2016-05-24 200724807 SERIES 2016A & 2016C - SEE PART VI false false false C COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648A8D0 2016-05-24 70300000 SERIES 2016B - SEE PART VI false false false D COLORADO HEALTH FACILITIES AUTHORITY 840752932 000000000 2019-03-27 20000000 SERIES 2019A - SEE PART VI false false false A 236915000 0 309252566 0 0 0 1844600 0 0 197052966 110355000 0 2013 true false true true B 26770000 0 200724807 0 0 0 1519986 0 0 80000000 119204821 0 2019 false true true true C 0 0 70300000 0 0 0 300000 0 0 70000000 0 0 2019 false false true true D 5080189 0 20000000 0 0 0 58500 0 0 19941500 0 0 2019 false false true true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true D false false false false 0 false false false true A false false false true true true JP MORGAN 24.9 false 0 false true B false true false false false false 0 false 0 false true C false true false false true false 0 false 0 false true D false true false false false false 0 false 0 false true A true B true C true D true A COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648FMY7 2019-11-04 235360000 SERIES 2019BCD - SEE PART VI false false false B COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648FPT5 2020-07-01 105685000 SERIES 2020A-B - SEE PART VI false false false A 0 0 235360000 0 0 0 408677 0 0 0 234951323 0 2019 true false true true B 0 0 105685000 0 0 0 844996 0 0 0 104784999 55005 2020 true false true true A false false false false 0 false false false true B false false false false 0 false false false true A false true false false true false 0 false 0 false true B false true false false true false 0 false 0 false true A true B true 1 BOND A - HOSPITAL REVENUE BONDS SERIES 2013 THE PURPOSE OF THIS BOND ISSUE WAS TO FINANCE LONG-TERM PROJECTS AND TO REFUND SERIES 2008B AND 2008C BONDS. BOND B - HOSPITAL REVENUE BONDS SERIES 2016A & 2016C THE PURPOSE OF THIS BOND ISSUE WAS TO FINANCE LONG-TERM PROJECTS AND TO REFUND SERIES 2004C AND 2004D BONDS. BOND C - HOSPITAL REVENUE BONDS SERIES 2016B THE PURPOSE OF THIS BOND ISSUE WAS TO FINANCE LONG-TERM PROJECTS. BOND D - HOSPITAL REVENUE BONDS SERIES 2019A THE PURPOSE OF THIS BOND ISSUE WAS TO PURCHASE EQUIPMENT. BOND E - HOSPITAL REVENUE BONDS SERIES 2019BCD THE PURPOSE OF THIS BOND ISSUE WAS TO REFUND SERIES 2013B, 2013C1 AND 2013C2. BOND F - HOSPITAL REVENUE BONDS SERIES 2020A-B THE PURPOSE OF THIS BOND ISSUE IS TO REFUND SERIES 2008A & 2010A BONDS. FORM 990, PART I, LINE 6 FROM TEENAGERS TO GREAT GRANDPARENTS, FROM HOMEMAKERS TO PROFESSIONAL ATHLETES, CHILDREN'S HOSPITAL COLORADO VOLUNTEERS ENCOMPASS ALL WALKS OF LIFE AND ALL INCOME LEVELS, EACH VOLUNTEER WITH SOMETHING UNIQUE TO OFFER. OUR DIVERSE GROUP OF VOLUNTEERS HAS ONE THING IN COMMON, HOWEVER, THE DESIRE TO HELP SICK CHILDREN AND THEIR FAMILIES. CHILDREN'S HOSPITAL COLORADO IS FORTUNATE TO HAVE HUNDREDS OF DEDICATED VOLUNTEERS WHO WORK REGULARLY, FROM SEVERAL HOURS A YEAR TO SEVERAL HOURS A WEEK, TO PROVIDE BETTER CARE FOR THE CHILDREN OF CHILDREN'S HOSPITAL COLORADO. THE ASSOCIATION OF VOLUNTEERS THE VOLUNTEERS AT CHILDREN'S HOSPITAL COLORADO ARE ALL PART OF A GROUP CALLED CHILDREN'S HOSPITAL COLORADO ASSOCIATION OF VOLUNTEERS (AOV). THE AOV COORDINATES PLACEMENTS FOR VOLUNTEERS AND ENSURES THAT COMPLETE ORIENTATION AND TRAINING IS PROVIDED TO ALL VOLUNTEERS. OUR VOLUNTEER'S SKILLS AND INTERESTS ARE ALL SO APPRECIATED AND WE TRY TO PLACE EVERYONE IN A ROLE THAT SUITS THEM AND OUR NEEDS. THE EXAMPLES BELOW ARE JUST SOME OF THE WAYS THAT OUR VOLUNTEERS CONTRIBUTE: - VOLUNTEERS ARE ACTIVE AT THE HOSPITAL ON THE ANSCHUTZ MEDICAL CAMPUS, THE SOUTH CAMPUS, HIGHLANDS RANCH THERAPY CARE CENTER, BRIARGATE, COLORADO SPRINGS HOSPITAL AND THE NORTH CAMPUS. - VOLUNTEERS SPEND TIME WITH OUR PATIENTS BY HOLDING, COMFORTING, PLAYING WITH THEM AND MAKING THEM LAUGH. - VOLUNTEERS BRING SPECIALLY-SCREENED DOGS TO PROVIDE ANIMAL-ASSISTED THERAPY FOR THE PRESCRIPTION PET PROGRAM. - SPECIALLY TRAINED VOLUNTEERS SERVE AS AMBASSADORS WITH THE WELCOME PROGRAM. VOLUNTEERS GREET NEWLY ADMITTED PATIENT FAMILIES UPON THEIR ARRIVAL AND INTRODUCE THEM TO THE HOSPITAL'S MANY AMENITIES. THE GOAL IS TO PROVIDE A WARM AND WELCOMING ENVIRONMENT AND TO ANSWER ANY NON-MEDICAL QUESTIONS. - THE WINE EVENT IS THE ASSOCIATION OF VOLUNTEERS' SIGNATURE EVENT. THE SPECIAL EVENING FEATURES A SILENT AND LIVE AUCTION OF FINE WINES AND EXPERIENCES WITH ALL PROCEEDS BENEFITING THE MATERNAL FETAL MEDICINE PROGRAM. - MANY GROUPS OF VOLUNTEERS DO NOT SPEND TIME DIRECTLY WITH OUR PATIENTS, BUT PERFORM MORE ADMINISTRATIVE DUTIES, WHICH CAN BE JUST AS IMPORTANT TO THE DAY-TO-DAY OPERATIONS OF CHILDREN'S HOSPITAL COLORADO. - TEENAGERS BETWEEN 13 AND 18 YEARS OF AGE PARTICIPATE IN THE JUNIOR VOLUNTEER PROGRAM. THEY SUPPORT THE HOSPITAL BY WORKING IN SEVERAL DEPARTMENTS AS WELL AS SUPPORTING FUNDRAISING ACTIVITIES. - VOLUNTEERS ALSO ASSIST IN FUNDRAISING BY STAFFING CHILDREN'S HOSPITAL COLORADO GIFT SHOP AND LA CACHE. - CHAPTER VOLUNTEERS IN THE COMMUNITY ARE VERY ACTIVE IN FUNDRAISING EVENTS THROUGHOUT THE YEAR THAT HELP TO FUND SPECIAL EQUIPMENT, FACILITIES AND PROGRAMS FOR THE PATIENTS OF CHILDREN'S HOSPITAL COLORADO. FORM 990, PART III, LINE 4A Neonatology For more than 50 years, the Neonatal Intensive Care Unit (NICU) at Children's Hospital Colorado has been a nationally recognized leader in the treatment of critically ill infants. The state-of-the-art Level IV NICU (the highest distinction by the American Academy of Pediatrics), at Children's Hospital Colorado, provides 82 critical care beds specifically for this patient population. The NICU provides excellent care for infants throughout Colorado and the mountain state region. Named one of the country's top centers by U.S. News & World Report, our Level IV Neonatal Intensive Care Unit offers the highest level of care to more than 2,000 newborns every year - one of the largest centers in the region. We care for any condition affecting a newborn, no matter how rare or critical that condition may be. Therapies include extra corporeal membrane oxygenation (ECMO), genetic testing, and neonatal surgery. Volumes matter. Children's Colorado's NICU is among the highest volume centers in the U.S. for high-complexity patients, meaning we see more and treat more neonates with complex congenital conditions and severe complications of prematurity than most other centers. The NICU cares for both premature and term infants with a variety conditions, including hypoxic respiratory failure, infections, hematological, neurological, cardiovascular and metabolic disorders. Infants with single major or multiple anomalies requiring diagnostic evaluation or surgical intervention are often treated in the NICU. Our survival rates rank among the best in the nation. Our high volumes not only allow for the development of highly specialized teams and standardized approaches to care, they also build our surgical and medical sub-specialists' experience and expertise. The Neonatology team has pioneered many critical developments in neonatal care including surfactant replacement for premature infants, inhaled nitric oxide therapy for pulmonary hypotension, therapeutic hypothermia for perinatal brain injury, optimal nutrition for low-birth-weight infants and innovative care following fetal surgery. Collectively, the neonatologists and PhD research faculty published 90 articles in 2020. Throughout a visit, a baby and their family stay together in an environment we specifically designed to feel as much like home as possible. Families are integral to the care delivered and key areas of focus include developmentally supportive care of the newborn, primary nursing and a family centered care approach. They are encouraged to participate in daily rounds and in all aspects of care. There is a Family Advisory Council to support current families and provide perspective on the patient experience. The clinical care team in the NICU is comprised of Neonatologists, Neonatal Nurse Practitioners, specialty trained nurses, respiratory therapists, pharmacists, physical, speech and occupational therapists, lactation specialists, neonatal nutrition, social work, chaplains, and case managers. Specialty consultants include neurology, pulmonology, genetics, gastroenterology, nutrition, metabolic, endocrinology, hematology, cardiology and cardiovascular surgery, general pediatric surgery, renal, ophthalmology, orthopedics and ear, nose and throat specialists. Children's Hospital Colorado neonatologists have diverse expertise caring for an array of complex conditions. The Section of Neonatology provides full clinical support for infants and their families at multiple hospitals in the Denver metropolitan area including Children's Hospital Colorado, University of Colorado Hospital and Denver Health Medical Center. The 36 board-certified neonatologists are nationally and internationally recognized leaders in neonatal care as well as clinical and scientific research. With advances in technology, the NICU team can provide teleconferencing for referring providers and/or parents who may not be present to provide optimal communication. They can also provide tele-NICU services to hospitals in rural areas to ensure those infants are properly treated in their home community and transferred only when appropriate. The NICU team continuously reviews quality and patient safety data focusing on excellence in patient outcomes. The NICU leadership team meets bimonthly for Quality Rounds, promoting engagement of front-line staff. This avenue elicits great discussions among staff regarding what is going well as well as in identifying opportunities and creative ideas for improvement. The NICU team promotes the safest environment possible with key communication in safety huddles each shift to review details of our safety and quality improvement work. Optimal communication with a large multidisciplinary team is one of our key strategies to promote the highest quality care possible. 2021 NICU Quality and Process Improvement Initiatives: . Increasing the family experience scores to 80% or greater. The NICU is involved in a regional collaborative to improve family engagement and satisfaction within NICU's, focusing on parents as partners in care and consistent, frequent communication. Strong foundation of Primary nursing for patients and families remains a model of care within the NICU. . The NICU continues work with a large national quality improvement initiative, Children's Hospital Neonatal Consortium (CHNC) focusing on the standardization of unique clinical quality measures of the surgical and critically ill neonate. . Ongoing key quality initiatives include focusing on decreasing unplanned extubations, patient identification events, pressure injuries, adverse medication events and peripheral intravenous catheter extravasations. . There is major focus on infection prevention practices and hand washing compliance among the large multidisciplinary team in the NICU. . Continue a significant focus on the prevention of central line associated blood stream infections (CLABSI). Our goal is to sustain a CLABSI goal of 2/1000-line days or less in 2021. Following staff compliance to the CLABSI bundle of prevention measures and auditing clinical practices related to CLABSI prevention. . Lactation program focuses on a goal of 82% or greater of NICU infants receiving breast milk while hospitalized and upon discharge. In addition, there are several other quality projects with a nutrition focus lead by Clinician Nutrition and the broader multi-disciplinary team. . Following clinical outcomes of infants delivered in the Labor and Delivery Care Unit at CHCO and admitted to the NICU at CHCO. . Trending data from codes/resuscitations in the NICU with processes identified for improvement, including code simulations and standardization of processes within the resuscitation. . A standardized, evidenced based approach to caring for infants in the Small Baby Unit within the NICU. Key clinical outcomes are tracked and reviewed in this patient population. . Close follow up of infants treated with hypothermic therapy for neonatal encephalopathy, unique ventilation strategies, Supporting Preemie Respiratory Outcomes (SPROUT) Transitional Team, extracorporeal membrane oxygenation (ECMO), inhaled nitric oxide (iNO), continuous renal replacement therapy (CRRT) and renal dialysis. FORM 990, PART III, LINE 4A (cont'd) CENTER FOR CANCER AND BLOOD DISORDERS Children's Hospital Colorado's Center for Cancer and Blood Disorders (CCBD) has one of the best pediatric hematology, oncology, and bone marrow transplant programs in the country. The CCBD has been ranked in the Top 10 programs by US News & World Report. The Center provides care for many pediatric cancers & blood disorders including: Oncology, Solid Tumors, Neuro- Oncology, Hemophilia & Thrombosis, Hematology, Experimental Therapeutics, and Bone Marrow Transplant & Cell Therapy. Helping children realize their full potential is also achieved through our Wellness Program, Adolescent & Young Adult care, and our HOPE survivorship program. Every year we see more between 300-350 new cancer diagnoses. The CCBD experienced 24,872 patient visits in 2020, seeking to serve the Colorado community, as well as our 7-state region. Of these visits 91% of patients were from Colorado while the remaining almost 9% were from the 7-state region or beyond. Our Anschutz facility location saw 17,582 visits of the total visits, with our infusion center volume making up 30% of those visits. Our Network of Care sites in Highlands Ranch, Colorado Springs, and our Hemophilia Thrombosis Center had patient visits in 2020 of 7,870 of which 33% were infusions. In early 2020, we expanded care to include infusion services at North Campus in Broomfield, Colorado. Because of the depth and breadth of CCBD outpatient services, a large number of our clinic and infusion visits mean that many children can be cared for on an outpatient basis instead of being admitted to the hospital. Limiting hospitalization when possible is our high priority to enable our families live healthier lives. CCBD Inpatient had 8,661 patient days recorded in 2020; 1.3% of these occurred at Children's Hospital Colorado, Colorado Springs. The Anschutz Medical Campus inpatient unit had a total of 6,691 inpatient Hematology and Oncology patient days and 1,970 BMT patient days recorded. National/Regional Presence: CCBD has an outreach program reaching from Montana to New Mexico with extensive presence in Colorado. Our outreach clinics in Grand Junction bring Hematology sub-specialty expertise to the Western slope. Our Hemophilia & Thrombosis Center (HTC) provides comprehensive care clinics throughout the region. We host bi-weekly Bone Marrow Transplant (BMT) teleconferences with cancer programs in New Mexico. Our CCBD nursing program travels throughout the region and provides virtual teaching to train other hospital nurse staff on best practices in chemotherapy administration. In 2020 we expanded our telemedicine efforts. We were successful in arranging physician licensing, credentialing, and contracts in Montana and New Mexico. Our HTC faculty successfully treated rural out of state patients via telemedicine in 2020, and they have set the stage for expanding this platform. CCBD is acknowledged by Optum as a Center of Excellence for both our Cancer Care as well as Bone Marrow Transplant. We are the only pediatric Foundation for the Accreditation of Cellular Therapy (FACT) program in a 16-state region, which brings us the capacity to deliver the most sophisticated stem cell transplant and chimeric antigen receptor T (CAR- T) cell immunotherapy. Continued expansion of the application of CAR-T therapy has also advanced in both the targeted antibodies and different diseases. Our Neuro-Oncology and Experimental Therapeutics programs draw patients nationally and internationally for treatment and clinical trials that are available in only a few centers in the world. CCBD Fellowship Program: Each year we select 4 new fellows to join our highly selective 3-year Accreditation Council of Graduate Medical Education-sanctioned Fellowship Program. Our fellows train in all aspects of sub-specialty care of children, adolescents and young adults with blood and cancer disorders in preparation for a career in academic medicine. We emphasize excellence in clinical care and research, developing fellows in the physician-scientist model with numerous mentors among the faculty such that our graduates acquire the skills and strategies needed for a career as life-long learners, educators, and influential leaders. We have successfully prepared subspecialty pediatricians that provide comprehensive, patient- and family-centered care with particular focus on excellent communication skills, as well as safety and quality improvement. Training the next generation of physicians is imperative to the health of children in our communities. Multi & Interdisciplinary Care: CCBD is privileged to have a dedicated Wellness program. This interdisciplinary team is comprised of specialists in Social Work, Psychology, Child Life, Family Navigation, Creative Arts Therapy, Chaplaincy, and Learning Specialists. The Wellness program benefits families and patients by integrating and coordinating clinical services to meet every family's needs at the individual level and increases possibilities for prevention/intervention and on-going care and connection. The CCBD is a home for multiple sub-programs within Oncology, Hematology and BMT. Our Vascular Anomalies Center is also a national and regional leader. This interdisciplinary team evaluates and treats vascular anomalies in children. NThe team includes specialists from Otolaryngology (ear, nose, and throat), Plastic Surgery, Dermatology, Hematology, Pediatric General Surgery, and Interventional Radiology. This program exemplifies our priority to put the patient first. Our specialists coordinate their care in one patient appointment to minimize the number of visits needed to evaluate and treat the patient's condition. Quality Improvement: The CCBD is committed to developing quality improvement as a core clinical strategy by continually advancing the effectiveness, efficiency, safety, experience, and coordination of the care it provides to its patients. The Clinical Effectiveness Collaborative (CEC) supports data driven improvement work on clinical effectiveness, operational excellence, and value throughout the CCBD, CHC, and the University of Colorado Anschutz Medical Campus with multidisciplinary standing membership drawn from individuals within the CCBD who can provide meaningful review and guidance to projects shared and supported by the CEC. The CEC is broadly representative, multidisciplinary and guides the range of activities and initiatives through which the CCBD is pursuing its clinical, operational, value-driven, and financial improvement goals. One primary function of the CEC is to review and provide feedback related to clinical and operational improvement projects, including measures, PI methods, and project alignment across the CCBD and CHC. The Collaborative's members help guide clinical and operational improvement initiatives, spread successful interventions, identify, and recommend strategies to overcome barriers/challenges, and serve as enthusiastic advocates for, participants and leaders of continuous learning and improvement in their respective areas and across the CCBD. The CCBD has several active Quality & Process Improvement initiatives underway in 2020 (and continuing into 2021) to include, but not limited to: . The CCBD areas of patient care patient satisfaction meet or exceed all other patient care areas within Children's Hospital Colorado. . Standardizing an approach to screening for transfusion-associated iron overload increasing the number of patients identified and treated for this complication and preventing long-term toxicities. . Decreasing length of stay of high-dose methotrexate admissions resulting in more time outside the hospital for children with leukemia and osteosarcoma. . Preventing blood stream infections in patients with a central line/catheter. . Improving time to antibiotics for patients receiving cancer care that present with fever and neutropenia (low white blood cell count) in all settings: Emergency Department & Outpatient clinic. . Decreasing the rate of clostridium difficile infections resulting in decreased mortality, decreased length of inpatient hospital stay and decreased cost for both community and hospital onset. . Increase reliability rates of Chemotherapy administered: both prescribing and administration process. . Successful Foundation for the Accreditation of Cellular Therapy (FACT) re-accreditation. FACT accreditation is a threshold for excellence in cellular therapy within the bone marrow or cord blood transplant (BMT) patient population. . Evaluating and changing the Bone Marrow Harvest process to reduce the positive sterility rate of products collected by CHCO providers. FORM 990, PART III, LINE 4A (cont'd) Neurosciences Children's Hospital Colorado's Neuroscience Institute (NSI) has one of the best developmental pediatrics, neurology, and neurosurgery programs in the country. We have consistently ranked among the Top 15 programs by U.S. News & World Report and ranked #10 in 2020-21 and 2021-22. The NSI provides evaluation and treatment of neurological disorders, parent and patient education, and inpatient and outpatient treatments, therapies and procedures. Our neurology team is specially trained to diagnose and treat disorders of the brain and nervous system, caring for kids with conditions like stroke, neuromuscular disorders, movement disorders, neurometabolic disorders, epilepsy, and migraines. Our neurosurgery team provides surgical treatment for all types of disorders affecting the brain, spinal cord and skull including epilepsy, hydrocephalus, traumatic injury, brain tumors, spina bifida, and facial and skull deformities. Our Developmental Pediatrics team sees children with a variety of developmental and neurobehavioral differences such as autism spectrum disorders, X&Y chromosome variations, fragile X and developmental delays. NSI includes more than 50 physicians, 26 advanced practice providers, and 29 psychologists across 8 Children's sites as well as 7 outreach sites across Colorado and a growing telemedicine practice. The clinical care team is comprised of neurologists, neurosurgeons, developmental pediatricians, neuropsychologists, psychologists, advanced practice providers, as well as specially trained nurses, genetic counselors, social workers, nutritionists, pharmacists, and physical, speech and occupational therapists. Our Children's sites include Anschutz, COS/Briargate, North/Broomfield, Parker, Uptown, Wheatridge, South, Highlands Ranch Therapy. The NSI saw 32,742 patient visits in 2020, serving the Colorado community and our 7-state region. With the pandemic, NSI was quick to shift to telemedicine, quickly training our providers, and implementing new workflows with clinical and administrative support staff. As a result, NSI had 13,926 telemedicine visits in 2020, which enabled us to continue to provide much needed care. Our providers were at the forefront of researching the impact of telemedicine visits in pediatric neurology and contributing to national guidelines for the neuro exam in a telemedicine visit. Due to the consistent demand for NSI's services, we continue to expand our outreach and telemedicine efforts to better serve patients across Colorado and the 7-state region. Increasing access to care for NSI's specialized services is a top priority to enable our families to live healthier lives. NSI Inpatient had 6,605 patient days recorded in 2020. There was a total of 1,299 inpatient discharges in 2020, and 756 neurosurgeries. In 2020, we opened a new Interventional Radiology suite, with new machines that produce CT scan-like cross-sectional images as well as 3D navigational images of blood vessels to enhance our ability to perform biopsies, drain complex collections, and treat vascular malformations. We saw a 6.1% decrease in 2020 in our Epilepsy Monitoring Unit admissions, for 2,640, due to COVID-19 pandemic, and challenges around COVID-19 testing. National/Regional Presence: NSI's outreach program extends from Montana to New Mexico with extensive presence in Colorado. We host over 100 Neurology outreach clinics annually across Colorado, in Alamosa, Durango, Ft. Morgan, Grand Junction, Montrose, Pueblo and Sterling. Our neurologists provide EEG reading services for 11 hospitals/medical centers in Colorado, Montana, Nebraska, and New Mexico. Our Developmental Pediatrics team travels throughout the state to train PCPs on best practices in diagnosing and managing patients with autism, with a focus on rural and frontier outreach clinics within the state and continues to expand the number of sites. We have a Developmental Pediatric psychologist work closely with the Pediatric Care Network (PCN) providers to educate them about how to obtain information needed to make a referral, provide them with easy to use templates, expedite assessments, and provide feedback about their initial impression of their patients after the assessment in Developmental Pediatrics, as a learning model for them. We continue to expand our regional partnerships, including ongoing exploration of outreach and telemedicine clinics in Casper, WY. NSI's Epilepsy program is accredited by the National Association of Epilepsy Centers as a Level 4 Epilepsy Center, which have the professional expertise and facilities to provide the highest level medical and surgical evaluation and treatment for patients with complex epilepsy. In 2020, our Epilepsy Monitoring Unit was accredited as an ABRET Long-Term Monitoring (LTM) laboratory, the only one in the Colorado and several surrounding states for either adult or pediatrics. We are recognized by the International Foundation for CDKL5 Research as Center of Excellence for Rett patients, one of only 15 institutions across the U.S., drawing patients nationally to be treated by Dr. Tim Benke, an international expert in this area. Our Neurology Complex Drugs Program draw patients from around the region to be treated for complex neurodegenerative diseases, and the program has been recognized as model for care for these treatments. Our faculty offer local and regional CMEs and organize an annual Rett Symposium and regular Seizure Safety Schools for parents and families. After several years of diligent advocacy by our physicians and genetic counselors, Colorado (and Wyoming) have included Spinal Muscular Atrophy in their Newborn Screening Programs. With 3 available treatments for this neurodegenerative disease, this screening, done in partnership with Children's Colorado, provides families with knowledge and options for their children. Quality Improvement: The NSI is committed to developing quality improvement as a core clinical strategy by continually advancing the effectiveness, efficiency, safety, experience and coordination of the care it provides to its patients. As a result of ongoing quality and process improvement initiatives, NSI has seen the following outcomes: . Seizure Free Rate (12 months post-surgery): 100% . SSI Bundle Compliance for Shunts: 90% . Shut Revisions within 90 days: 0% . Infantile Spasm LOS (% of pts with stay <4 days): 93% . EEG Lead Pressure Injuries (continuous EEG): 0.07% . Maintained high patient satisfaction scores: 89.1% across NSI, above Children's Ambulatory average of 88.9% NSI maintains a strong research portfolio, with faculty garnering numerous NIH and foundation grants in the past year. Within the hospital, we have the second largest portfolio of industry trials. With over 150 clinical research studies patients are ability to participate in new, emerging treatments for neurological disorders, including gene therapies. FORM 990, PART VI, LINE 1A CHILDREN'S HOSPITAL COLORADO'S EXECUTIVE COMMITTEE CONSISTS OF THE BOARD CHAIR, CHAIR ELECT, CHIEF EXECUTIVE OFFICER, SECRETARY, BOARD TREASURER, CORPORATE TREASURER, IMMEDIATE PAST CHAIR, THE CHAIR OF THE CHILDREN'S HOSPITAL COLORADO FOUNDATION, THE CHANCELLOR (OR DESIGNEE) AND UP TO TWO (2) ADDITIONAL SEATS TO BE FILLED BY THE BOARD CHAIR. THE EXECUTIVE COMMITTEE HAS ALL THE POWERS OF THE BOARD OF DIRECTORS, EXCEPT AS LIMITED BY LAW, DURING THE PERIOD BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD. FORM 990, PART VI, LINE 6 CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM IS THE SOLE MEMBER OF CHILDREN'S HOSPITAL COLORADO. FORM 990, PART VI, LINE 7A THE WRITTEN CONSENT OF CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM IS REQUIRED TO APPROVE THE BOARD OF DIRECTORS OF CHILDREN'S HOSPITAL COLORADO. FORM 990, PART VI, LINE 7B CHILDREN'S HOSPITAL COLORADO HEALTH SYSTEM AS THE SOLE MEMBER HAS CERTAIN APPROVAL POWERS AS DESCRIBED IN THE AMENDED AND RESTATED BYLAWS DATED SEPTEMBER 22, 2011 AND AMENDED MOST RECENTLY IN FEBRUARY 2017. FORM 990, PART VI, Line 11B CHILDREN'S HOSPITAL COLORADO'S FINANCE DEPARTMENT WORKS CLOSELY WITH HUMAN RESOURCES, CORPORATE COMPLIANCE, LEGAL AND PUBLIC RELATIONS TO GATHER ALL THE DATA REQUIRED TO COMPLETE THE FORM 990. THE DIRECTOR OF ACCTG. & REPORTING CONDUCTS A REVIEW WITH THE CFO PRIOR TO THE DRAFT BEING DISTRIBUTED TO THE BOARD OF DIRECTORS. ANY NECESSARY CHANGES ARE MADE, THE FORM IS SIGNED BY THE CFO, REVIEWED BY THE AUDIT COMMITTEE, AND A FINAL COPY IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE IRS VIA A SECURED WEBSITE. FORM 990, PART VI, LINE 12C BOARD MEMBERS ARE REQUIRED TO DISCLOSE, ON AN ANNUAL BASIS, POTENTIAL CONFLICTS OF INTEREST PURSUANT TO THE WRITTEN POLICIES OF CHILDREN'S HOSPITAL COLORADO (CHCO) AND CHILDREN'S HOSPITAL COLORADO FOUNDATION (CHCF). ALL EMPLOYEES AND BOARD MEMBERS MUST PROMPTLY PROVIDE A WRITTEN DESCRIPTION OF MATERIAL FACTS OF AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST TO CORPORATE COMPLIANCE AND/OR GENERAL COUNSEL ON THE APPROPRIATE DISCLOSURE FORM. SUCH DISCLOSURE WILL BE MADE PROMPTLY ANY TIME AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST ARISES AND BEFORE THE CONSUMMATION OF THE CONTRACT, TRANSACTION OR ARRANGEMENT THAT IS THE SUBJECT OF THE POTENTIAL CONFLICT OF INTEREST. POLICIES AND PROCEDURES FOR DISCLOSING CONFLICTS OF INTEREST ARE TO BE FOLLOWED ACCORDING TO THE INDIVIDUAL'S FUNCTION, IN COMPLIANCE WITH STATE AND FEDERAL REGULATIONS. COMPLETED DISCLOSURE FORMS ARE SUBJECT TO AUDIT REVIEW BY LEGAL, THE CORPORATE COMPLIANCE PROGRAM, AND THE COMPLIANCE AND BUSINESS ETHICS COMMITTEE OF THE BOARD OF DIRECTORS. FAILURE TO COMPLY WITH CONFLICT OF INTEREST POLICIES MAY LEAD TO DISCIPLINARY ACTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT OR WORKING RELATIONSHIP WITH THE CHILDREN'S HOSPITAL COLORADO. ONCE THE COMPLIANCE AND BUSINESS ETHICS (CABE) COMMITTEE HAS DETERMINED THAT AN ACTUAL CONFLICT OF INTEREST EXISTS WITH RESPECT TO AN AGREEMENT/CONTRACT THEN: 1. THE (CABE) COMMITTEE WILL EXERCISE DUE DILIGENCE TO DETERMINE WHETHER CHILDREN'S HOSPITAL COULD OBTAIN A MORE ADVANTAGEOUS AGREEMENT/CONTRACT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES AND, IF APPROPRIATE, WILL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT. 2. IN CONSIDERING WHETHER TO ENTER THE PROPOSED AGREEMENT/CONTRACT, THE CABE COMMITTEE MAY APPROVE SUCH CONTRACT, TRANSACTION OR ARRANGEMENT ONLY IF THE DISINTERESTED PERSON OR COMMITTEE DETERMINE BY A MAJORITY VOTE THAT: - THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT IS IN CHILDREN'S COLORADO'S BEST INTERESTS AND FOR COLORADO CHILDREN'S OWN BENEFIT; AND - THE PROPOSED TRANSACTION IS FAIR AND REASONABLE TO CHILDREN'S HOSPITAL COLORADO (CHCO), CONSIDERING, AMONG OTHER RELEVANT FACTORS, WHETHER CHCO COULD OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. FORM 990, PART VI, LINES 15A AND 15B CHILDREN'S HOSPITAL COLORADO HAS AN EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS THAT REVIEWS AND APPROVES ANY PROPOSED INCREASES RELATED TO ANY OFFICERS AND KEY EMPLOYEES OF THE COMPANY. THE CEO'S COMPENSATION IS REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE ALONG WITH THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS EACH YEAR. ONCE A CHANGE IN COMPENSATION IS APPROVED, FORMAL DOCUMENTS ARE COMPLETED AND MINUTES OF THE MEETING ARE PREPARED, REVIEWED AND APPROVED. EXECUTIVE COMPENSATION PROGRAMS FOR CHILDREN'S HOSPITAL COLORADO (CHCO) ARE DESIGNED TO ATTRACT AND RETAIN TOP EXECUTIVE TALENT. PROGRAM OBJECTIVES INCLUDE: -MAINTAIN EXECUTIVE PAY RANGES THAT REFLECT MARKET AND INTERNAL ALIGNMENT -ESTABLISH PAY FOR INDIVIDUAL EXECUTIVES BASED ON SKILLS, EXPERIENCE AND/OR PERFORMANCE HISTORY -PROVIDE ANNUAL PAY INCREASE TO REWARD INDIVIDUAL PERFORMANCE AND MAINTAIN MARKET COMPETITIVENESS -UTILIZE INCENTIVE PAY TO REWARD THE EXECUTIVE'S ABILITY TO ALIGN DIVISIONAL PERFORMANCE TO ORGANIZATIONAL PERFORMANCE -PROMOTE THE HEALTH AND WELLNESS OF EXECUTIVES AND THEIR FAMILIES, WHILE PROVIDING FAMILY FRIENDLY PROGRAM OPTIONS CONSISTENT WITH CHCO MISSION -MAINTAIN OVERALL PROGRAM AFFORDABILITY AND SUSTAINABILITY FOR THE ORGANIZATION THE EXECUTIVE COMPENSATION PACKAGE CONSISTS OF BASE PAY, INCENTIVE PAY, AND BENEFITS (MEDICAL, DENTAL, VISION, LIFE, DISABILITY, RETIREMENT, AND VOLUNTARY BENEFIT PROGRAMS). CHCO DEFINES MARKET COMPETITIVENESS BASED ON COMPARISONS WITH A PEER GROUP CONSISTING OF NATIONAL PEDIATRIC AND REGIONAL HEALTH SYSTEMS THAT ARE SIMILAR IN SIZE AND COMPLEXITY. IN DETERMINING MARKET COMPETITIVENESS, CHCO PARTNERS WITH AN EXTERNAL EXECUTIVE COMPENSATION CONSULTANT TO GATHER AND ASSESS MARKET DATA FROM INDEPENDENT COMPENSATION AND BENEFIT SURVEYS THAT REFLECT FUNCTIONALLY COMPARABLE POSITIONS IN THE PEER GROUP. AS NEEDED, THE EXTERNAL EXECUTIVE COMPENSATION CONSULTANT WILL PROVIDE RECOMMENDATIONS TO HELP RESOLVE DIFFICULTIES IN RECRUITING AND RETAINING EXECUTIVES OR ENSURE CRITICAL BUSINESS OR STRATEGIC ISSUES ARE ADDRESSED. 2020 CUSTOM PEER GROUP -TEXAS CHILDREN'S HOSPITAL (HOUSTON, TX) -THE CHILDREN'S HOSPITAL OF PHILADELPHIA (PHILADELPHIA, PA) -BOSTON CHILDREN'S HOSPITAL (BOSTON, MA) -CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER (CINCINNATI, OH) -NATIONWIDE CHILDREN'S HOSPITAL (COLUMBUS, OH) -CHILDREN'S HEALTHCARE OF ATLANTA (ATLANTA, GA) -COOK CHILDREN'S HEALTH CARE SYSTEM (FORT WORTH, TX) -CHILDREN'S HEALTH SYSTEM OF TEXAS (DALLAS, TX) -SEATTLE CHILDREN'S (SEATTLE, WA) -CHILDREN'S MERCY KANSAS CITY (KANSAS CITY, MO) -CHILDREN'S NATIONAL HEALTH SYSTEM (WASHINGTON, DC) -RADY CHILDREN'S HOSPITAL - SAN DIEGO (SAN DIEGO, CA) -CHILDREN'S HOSPITAL LOS ANGELES (LOS ANGELES, CA) -ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO (CHICAGO, IL) -CHILDREN'S WISCONSIN (MILWAUKEE, WI) -CHILDREN'S HOSPITALS AND CLINICAL OF MINNESOTA (MINNEAPOLIS, MN) -PHOENIX CHILDREN'S HOSPITAL (PHOENIX, AZ) -CHOC CHILDREN'S (ORANGE, CA) -ARKANSAS CHILDREN'S HOSPITAL (LITTLE ROCK, AR) -UCHEALTH (AURORA, CO) -CENTURA HEALTH (CENTENNIAL, CO) -SCL HEALTH (BROOMFIELD, CO) -ST. LUKE'S HEALTH SYSTEM (BOISE, ID) THE COMPENSATION REVIEW PROCESS WAS LAST COMPLETED IN 2020. FORM 990, PART VI, LINE 19 THESE DOCUMENTS ARE MADE AVAILABLE UPON REASONABLE REQUEST. FORM 990, PART XI, LINE 9 EQUITY TRANSFER FROM CHCHS $ 7,680,610 EQUITY TRANSFER FROM FOUNDATION $39,946,614 CHANGE IN PERPETUAL TRUST $ 4,898,321 OTHER CHANGES IN NET ASSETS ($ 3,385,712) ------------- TOTAL $49,139,833 ============= FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:59156879 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:4865278 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER TOTAL FEES:6448603 CHILDREN'S NORTH SURGERY CENTER 469 STATE HIGHWAY 7 SUITE 2 BROOMFIELD CO 80023 262394578 O/P SURGERY CO 2031902 269646 CH-COLORADO 5314 INSURANCE COMPANY LLC 677 Ala Moana Blvd Suite 316 HONOLULU HI 96813 843975618 CAPTIVE INS. HI 16252178 21052335 CH-COLORADO CHILDREN'S HOSPITAL COLORADO HLTH SYSTEM 13123 EAST 16TH AVE AURORA CO 80045 454182666 HEALTHCARE CO 501(c)(3) 12c,III-FI NA false CHILD HEALTH MANAGEMENT SERVICES INC 13123 EAST 16TH AVE AURORA CO 80045 742266667 IT SERVICES CO 501(c)(3) 3 CH-COLORAD true THE CHILDREN'S HOSPITAL FOUNDATION 13123 EAST 16TH AVE AURORA CO 80045 840813462 FOUNDATION CO 501(c)(3) 7 CHCHS true CHILDREN'S HEALTH CORPORATION 13123 EAST 16TH AVE AURORA CO 80045 742235572 SUPPORTING CO 501(c)(3) 12a-I CH-COLORAD true RMCHS MANAGEMENT SERVICES 13123 EAST 16TH AVE AURORA CO 80045 840957415 BILLING CO CH-COLORADO C Corp 593031 0 1.00000 true PEDIATRIC CARE NETWORK CHCH LLC 13123 EAST 16TH AVE AURORA CO 80045 813554450 HEALTHCARE CO CH-COLORADO C Corp 2250730 4417950 1.00000 true PERPETUAL TRUST HOSPITAL SUPPORT CO CH-COLORADO true true true true true false false false false false false true true true true true false false false false THE CHILDREN'S HOSPITAL FOUNDATION c 8505205 ACCRUAL Schedule R, Part III, Column (A) Children's North Surgery Center LLC EIN: 26-2394578 Address: 469 State Highway 7, Suite 2, Broomfield, CO 80023